Women in the family, violence ...

Women in the family, violence and humiliation, or hide (ignore), or somatiziruyut, and often complain of the nerves, the desire to cry, vague somatic disorders, anxiety, hysterical disorders, which are adaptive in nature and help to keep the family and are easier to carry affect. Children or somatiziruyut these disorders or if they occur deep neurotic disorders, including persistent emotional disorders, depression, which can detect only an experienced child psychiatrist (3). In identifying this kind of pathological disorders in the family general practitioner faced with several problems, which he must solve in order to provide positive support. 1.Kto or what is the root cause of aggression in the family, and can I persuade this man in need of treatment. We can say that the direct task of the doctor: to try to persuade the man in need of therapeutic measures. 2.If the patient gives consent to treatment, treated the main link, as a rule-husband. If refused, the doctor treating the investigation of neurotic situation: physical, psychological, psychiatric, behavioral and cognitive effects of marital stress in other family members. Often it is necessary to provide patients and legal advice on how to protect against domestic violence. Attempts to restructure a rational relationship to the family through the rest of the family and the development of rational strategies for the future. 3.If the person complaining about the aggressiveness, I agree to therapeutic intervention, the first step in the therapeutic strategy is the establishment of genetic predictors of aggression. If the father, grandfather and great grandfather suffered similar outbreaks of aggression, and it is the kernel, or an organic part of nature, there is no hope for significant progress in this matter, although atypical antipsychotics, new antipsychotics in low doses, antidepressants with sedative effects and prolonged use of anticonvulsants, and possible, and lithium (kontemnol retard) are able to give some progress. Tranquilizers, although yield a significant effect, it is better to use short course, mindful of addiction and dependency. (4). 4. If outbreaks of aggression are manifested on the background of the provoking of alcohol or drugs, you need a specialized drug treatment. 5.If outbreak of aggression occur with age against the backdrop of provocative therapeutic diseases such as hyper-or hypothyroidism, autonomic failure, diabetes, autoimmune poliendokrinnogo syndrome, atherosclerosis, it is effective compensatory therapy, which is conducted on the principles of treatment of these disorders can significantly mitigate these effects . 6.If state provoked by neurological disorders like cerebral vascular disease, vascular, and nootropics therapy means some assistance. 7.Sootvestvenno these phenomena are interpreted in the geriatric (age) changes or mental disorders require a well thought-out combination of psychotropic, cardiovascular and metabolic drugs. 8.Vazhnuyu additional role in the treatment are vitamins B1, B6, B3 in mega doses, preparations of magnesium, Asparkam, Ginko Biloba, L-carnitine, SAMe, which is almost always give a moderate positive effect, which develops immediately or within 2-3 week (5). 9.Provoditsya cognitive-behavioral therapy (6-12 sessions), aimed at changing the perception of those episodes (A), which especially give birth to the patient.